diff --git a/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs b/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs
index 7c3424066..75f2862b4 100644
--- a/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs
+++ b/IRaCIS.Core.Application/Service/Doctor/DoctorService.cs
@@ -260,6 +260,14 @@ namespace IRaCIS.Core.Application.Service
                     inDto.Indication = "默认";
                     inDto.IndicationEn = "Default";
                 }
+                var exists = await _doctorSummarizeRepository
+                     .WhereIf(_userInfo.IsEn_Us, x => x.IndicationEn == inDto.IndicationEn)
+                     .WhereIf(!_userInfo.IsEn_Us, x => x.Indication == inDto.Indication)
+                     .AnyAsync(x => x.DoctorId == inDto.DoctorId && x.TrialId == null&&x.Id!=inDto.Id);
+                if (exists)
+                {
+                    throw new BusinessValidationFailedException(_localizer["DoctorSummarize_repeat"]);
+                }
             }